Published on February 11, 2016
1. 9/21/2015 1 Countdown to Guidance 213 Practitioner View ‐ Company September 21, 2015 Pete Thomas Smithfield Foods – Hog Production Division Viewpoint: GFI 209/213 and VFD Revisions • Very appreciative of the intent behind the GFI’s – Sustainability – Demonstrate veterinary oversight and responsibility. • Want to comply and help to make the programs successful. • Goal: Make these programs successful while avoiding any negative unintended consequences and unnecessary burdens to veterinarians and producers.
2. 9/21/2015 2 Overview • Example of pig flow in a large production system. • Electronic VFD Integration. • Antibiotic Decision making in context of a valid VCPR. • Important notes for creating a VFD Program. Pig Flow A pig flow is a constant supply of weaned pigs from one sow farm or a defined group of sow farms of a similar health status that “flow” to off‐site nursery or finishing barns. Feed‐grade antibiotic administrations are made on a flow level for disease prevention and/or control by the attending veterinarian, and do not vary by site. There are no one‐offs.
3. 9/21/2015 3 Midwest Region Pig Flow Example • 10,000 Sow farm located outside the stat of Iowa. • All pigs delivered to Iowa finishing sites @ 20‐24 days of age. – Currently ‐ 90 barns of pigs on 26 different sites fed by 4 feed mills. Company Pig Flow Example • Sites distributed widely throughout the state. • One company owned mill and three toll mills. Sites within a flow are often located in a wide geographic area. Company Owned Feed mill
4. 9/21/2015 4 Flow VFD Scenarios 227 barns placed per year X 3 medically important rations per group = 679 VFD’s annually for one source of pigs. At 0.125 hours each, this would equal 85 hours per year. This equates to 6,800 hours of extra administrative work‐load for our company veterinarians every year! The ability to write a VFD for multiple barns/sites electronically allows the same information and goals could be accomplished more efficiently. There are several ways to collect and report the required VFD information. This could be done very efficiently or could require a large increase in administrative work. Important Aspects • Veterinarian, Manufacturer, and Client ability to manage electronic VFD’s. • Comply with VCPR requirements of multiple states. • Ability to write VFD’s for a flow of pigs. • Using multiple feed mills: Timely identification of pigs placing into a site and which mill will feed the site. • Integration with our electronic prescription and feed programs.
5. 9/21/2015 5 Integration with Program for Feed Ration Management and Tracking Searchable Database for all feed deliveries to each barn. Integration of electronic VFD
6. 9/21/2015 6 Integration with Prescription Program • Under Construction Antibiotic Decision Making and VCPR • VCPR – Defined by Federal Regulations – Engage with the client to assume responsibility for making clinical judgments about patient health. – Have sufficient knowledge of the patient by virtue of examination and/or visits to the facility where the patient is managed. – Provide for any necessary follow‐up or care. • Default to the state as long as this minimum criteria is met. – We operate in 12 states = 12 definitions. • The goal is to demonstrate medication decisions are made responsibly with diagnostics and data on a flow basis. NOT visit every site at a routine interval for compliance (unless required by the state).
7. 9/21/2015 7 Responsible Antibiotic Decision Making • Sick animals are routinely autopsied and samples submitted to state diagnostic laboratories. • Diagnostic results are captured in custom diagnostic software and excel spreadsheets. • Information gathered from internal research allows us to determine the measurable benefits to animal health. Antibiotic Decision Making • Bacterial sensitivity to specific antibiotics and disease prevalence are monitored closely by pig flow.
8. 9/21/2015 8 Important GFI 213 notes to consider when creating your VFD Program • Minimum information for VFD inclusion is defined and must be included. • Do NOT write VFD’s for OTC feed medications. • VFD can be used for multiple locations as long as they are fed by a SINGLE manufacturer. – Need to cancel if not going to be filled. • Six month expiration date – Refills can be issued. • Original records must be kept for 2 years. • Must contain a specific statement for combination drugs and also for no extra label use. Questions?